Organization
PSYCHOLOGICAL SERVICES OF COASTAL GEORGIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA SUE RICHARDSON PH.D (PSYCHOLOGIST)
(912) 756-5696
Entity
Organization
Contact information
Practice address
10375 FORD AVE STE 2, RICHMOND HILL, GA 31324-8811
(912) 756-5696
(912) 756-5636
Mailing address
PO BOX 970, RICHMOND HILL, GA 31324-0970
(912) 756-5696
(912) 756-5636
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0931
GA
Other
Enumeration date
05/16/2007
Last updated
12/10/2016
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